FURP.ORG / PUBLIC DATA EXPLORER

ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201932279349301423
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-15T08:40:54-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1221 W PHILADELPHIA STREET SUITE 200AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610444716EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASHLBusinessNameControlTxt
Phone6064084000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAUTUMN MCFANNPersonNm
Person TitleVICE PRESIDENT/CFOPersonTitleTxt
Phone6064084000PhoneNum
Signature2019-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDAPreparerPersonNm
PTINP00760402PTIN
Phone7178467000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.89.178.154IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-14IPDt
IP Tm09:32:02IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9D0D8DD59390B7764A3ECE0F40BBFE3618018605AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KING'S DAUGHTERS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKRISTIE WHITLATCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$474,274,887GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KINGSDAUGHTERSHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee3534TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI$269,640TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$215,392NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,299,721PYContributionsGrantsAmt
CY Contributions Grants$1,210,887CYContributionsGrantsAmt
PY Program Service Revenue$412,729,012PYProgramServiceRevenueAmt
CY Program Service Revenue$417,843,604CYProgramServiceRevenueAmt
PY Investment Income$5,090,242PYInvestmentIncomeAmt
CY Investment Income$11,178,446CYInvestmentIncomeAmt
PY Other Revenue$4,056,553PYOtherRevenueAmt
CY Other Revenue$4,261,391CYOtherRevenueAmt
PY Total Revenue$424,175,528PYTotalRevenueAmt
CY Total Revenue$434,494,328CYTotalRevenueAmt
PY Grants And Similar Paid$171,269PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$169,186CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$190,135,379PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$185,803,624CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$235,369,721PYOtherExpensesAmt
CY Other Expenses$232,096,346CYOtherExpensesAmt
PY Total Expenses$425,676,369PYTotalExpensesAmt
CY Total Expenses$418,069,156CYTotalExpensesAmt
PY Revenues Less Expenses-$1,500,841PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,425,172CYRevenuesLessExpensesAmt
Total Assets BOY$671,315,108TotalAssetsBOYAmt
Total Assets EOY$676,221,177TotalAssetsEOYAmt
Total Liabilities BOY$321,549,910TotalLiabilitiesBOYAmt
Total Liabilities EOY$310,679,220TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$349,765,198NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$365,541,957NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$349,128,951ExpenseAmt
Grant$169,186GrantAmt
Revenue$417,843,604RevenueAmt
DescKING'S DAUGHTERS MEDICAL CENTER IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES EASTERN KENTUCKY AND SOUTHERN OHIO. KDMC OFFERS COMPREHENSIVE CARDIAC, MEDICAL, SURGICAL, MATERNITY, PEDIATRIC, REHABILITATIVE, BARIATRIC, PSYCHIATRIC, CANCER, NEUROLOGICAL, PAIN CARE, WOUND CARE AND HOME CARE SERVICES. KDMC OPERATES MORE THAN 25 OFFICES IN EASTERN KENTUCKY AND SOUTHERN OHIO. KING'S DAUGHTERS MEDICAL CENTER IS THE LARGEST EMPLOYER BETWEEN CHARLESTON, WEST VIRGINIA AND LEXINGTON, KY. OUR VISION: WORLD CLASS CARE IN OUR COMMUNITIES. CONTINUED ON SCHEDULE "O".KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA STATE LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES, BOYD, CARTER, GREENUP & LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE & SCIOTO COUNTIES IN OHIO. THE HEALTH AND WELL-BEING OF THE COMMUNITY IS VITALLY IMPORTANT TO US AT KING'S DAUGHTERS. WE OWE OUR VERY EXISTENCE TO FORWARD-THINKING COMMUNITY MEMBERS, TO VOLUNTEERS WHO HELPED SHAPE KING'S DAUGHTERS, AND TO THE PATIENTS AND FAMILIES WHO CHOOSE US FOR THEIR CARE. OUR COMMITMENT TO COMMUNITY DRIVES US TO GIVE BACK. OUR TEAM MEMBERS, PHYSICIANS AND HEALTH PROFESSIONALS PROVIDE FREE SCREENINGS AND EDUCATION, AND PARTICIPATE IN HEALTH FAIRS AND OTHER SPECIAL EVENTS DESIGNED TO HELP PEOPLE AND THE COMMUNITY BE HEALTHIER.Desc
Total Program Service Expenses$349,128,951TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document300IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3534EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAURIE STEWART CONTROLLERPersonNm
Phone6064089640PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID JONES
CHAIRMAN2.004.00Yes (X)Yes (X)$0$0$0
KRISTIE WHITLATCH
PRESIDENT/CEO51.2511.25Yes (X)Yes (X)$830,553$0$21,898
SHERYL MAHANEY NON-VOTING
SECRETARY, VP/CHIEF LEGAL51.2511.25Yes (X)Yes (X)$415,811$0$21,756
AUTUMN MCFANN NON-VOTING
TREASURER, VP/CFO51.2511.25Yes (X)Yes (X)$332,527$0$21,756
STEPHEN ADDINGTON
DIRECTOR0.251.00Yes (X)$0$0$0
WILLIAM BOYKIN MD
DIRECTOR/MEDICAL STAFF VP0.250.25Yes (X)$12,000$0$0
TOM BURNETTE
DIRECTOR0.251.25Yes (X)$0$0$0
JAMES DETHERAGE MD
DIRECTOR/PRESIDENT MED STAFF/CMO0.2540.25Yes (X)$24,000$468,544$29,178
DONALD HAMMONDS DO
DIRECTOR0.2540.25Yes (X)$0$30,736$18,514
BRADLEY LEVI
DIRECTOR0.250.25Yes (X)$0$0$0
KIM MCCANN
DIRECTOR0.252.25Yes (X)$0$0$0
JOHN STEWART
DIRECTOR0.251.00Yes (X)$0$0$0
JOHN VINCENT
DIRECTOR0.251.50Yes (X)$0$0$0
KELLY HURT
VP PEOPLE SERVICES45.001.25$241,004$0$19,802Yes (X)
SARA MARKS
VP/EXECUTIVE DIRECTOR KDIP51.256.25$266,910$0$33,312Yes (X)
RICHARD FORD MD
VP/CMO OF INPATIENT/PROC.40.250.25$28,740$507,453$21,241Yes (X)
EVAN CONDEE DO
PHYSICIAN40.00$386,164$0$14,731Yes (X)
CHARLES CONLEY DO
PHYSICIAN40.0010.00$374,860$0$31,884Yes (X)
JANE STRADER MD
PHYSICIAN40.00$283,474$0$20,244Yes (X)
PATRICK BALL DO
PHYSICIAN40.00$369,861$0$20,964Yes (X)
MARIA NASH MD
PHYSICIAN40.00$263,063$0$29,423Yes (X)
MATTHEW EBAUGH UNTIL 51717
FORMER CHIEF STRATEGY OFFICER/CIO0.00$199,651$0$26,289Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,028,618TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,006,733TotReportableCompRltdOrgAmt
Total Other Compensation$330,992TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K149IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DULEY ENTERPRISES LLC
24203 JACKS FORK ROADRUSHKY41168CONSULTANTS$1,308,695
OB HOSPITALIST GROUP
777 LOWNDES HILL ROAD-BUILDING 1GREENVILLESC296072131HOSPITALISTS$1,280,461
CLEVELAND CLINIC FOUNDATION
PO BOX 931760CLEVELANDOH441931861CONSULTANTS$1,250,000
STITES & HARBISON PLLC
250 WEST MAIN STREETLEXINGTONKY405071758LAWYERS$1,215,812
DLA PIPER LLP
6225 SMITH AVENUEBALTIMOREMD21209LAWYERS$1,145,114
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
Related Organizations$806,559RelatedOrganizationsAmt
Government Grants$241,558GovernmentGrantsAmt
All Other Contributions$162,770AllOtherContributionsAmt
Total Contributions$1,210,887TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV621110$401,501,831$401,501,831
PHARMACY446110$16,253,902$16,227,557$26,345
MEANINGFUL USE REVENUE621110$87,871$87,871
FieldValueIRS element (for citing)
Total Program Service Revenue$417,843,604TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,052,921TotalRevenueColumnAmt
Unrelated Business Revenue$12,401UnrelatedBusinessRevenueAmt
Exclusion$6,040,520ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$542TotalRevenueColumnAmt
Exclusion$542ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$973,591RealAmt
Personal$3,150PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$658,178RealAmt
Personal$3,726PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$315,413RealAmt
Personal-$576PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,837TotalRevenueColumnAmt
Unrelated Business Revenue-$576UnrelatedBusinessRevenueAmt
Exclusion$315,413ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$44,228,660SecuritiesAmt
Other$14,978OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$39,100,548SecuritiesAmt
Other$18,107OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,128,112SecuritiesAmt
Other-$3,129OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,124,983TotalRevenueColumnAmt
Exclusion$5,124,983ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722210$2,262,841$2,262,841
QUALITY INCENTIVE900099$886,505$886,505
MANAGEMENT FEES900099$271,740$271,740

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$525,468TotalRevenueColumnAmt
Unrelated Business Revenue$231,470UnrelatedBusinessRevenueAmt
Exclusion$293,998ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,946,554OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$434,494,328TotalRevenueColumnAmt
Related Or Exempt Func Income$417,817,259RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$269,640UnrelatedBusinessRevenueAmt
Exclusion$15,196,542ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$169,186TotalAmt
Program Services$169,186ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,286,739TotalAmt
Management And General$2,286,739ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$140,176,846TotalAmt
Program Services$123,082,225ProgramServicesAmt
Management And General$17,094,621ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,477,332TotalAmt
Program Services$2,212,419ProgramServicesAmt
Management And General$264,913ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,519,106TotalAmt
Program Services$26,795,775ProgramServicesAmt
Management And General$3,723,331ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,343,601TotalAmt
Program Services$8,936,871ProgramServicesAmt
Management And General$1,406,730ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,703,586TotalAmt
Program Services$14,083ProgramServicesAmt
Management And General$2,689,503ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$166,525TotalAmt
Program Services$16,525ProgramServicesAmt
Management And General$150,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$54,996TotalAmt
Program Services$54,996ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$497,932TotalAmt
Management And General$497,932ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,025,671TotalAmt
Program Services$24,592,732ProgramServicesAmt
Management And General$5,432,939ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,196,927TotalAmt
Program Services$11,431ProgramServicesAmt
Management And General$2,185,496ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,387,491TotalAmt
Program Services$1,246,236ProgramServicesAmt
Management And General$1,141,255ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,983,493TotalAmt
Program Services$2,977,084ProgramServicesAmt
Management And General$6,409ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,183,822TotalAmt
Program Services$1,681,064ProgramServicesAmt
Management And General$5,502,758ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$197,916TotalAmt
Program Services$140,394ProgramServicesAmt
Management And General$57,522ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,415TotalAmt
Program Services$13,555ProgramServicesAmt
Management And General$1,860ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,335,849TotalAmt
Program Services$47,193ProgramServicesAmt
Management And General$12,288,656ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,915,329TotalAmt
Program Services$19,655,038ProgramServicesAmt
Management And General$1,260,291ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,051,902TotalAmt
Management And General$7,051,902ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$89,864,443$86,840,151$3,024,292
BAD DEBT EXPENSE$23,124,129$23,124,129
REPAIRS & MAINTENANCE$15,920,939$14,706,826$1,214,113
TAX (INC. PROVIDER TAX)$7,679,544$7,631,889$47,655

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,790,437TotalAmt
Program Services$5,179,149ProgramServicesAmt
Management And General$1,611,288ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$418,069,156TotalAmt
Program Services$349,128,951ProgramServicesAmt
Management And General$68,940,205ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,746,824BOYAmt
EOY$10,045,692EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,150,280BOYAmt
EOY$12,380,469EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,626,831BOYAmt
EOY$56,582,731EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,350,251BOYAmt
EOY$1,195,231EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,891,663BOYAmt
EOY$7,577,837EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,464,722BOYAmt
EOY$4,627,275EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$733,202,477LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$493,815,272LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$246,035,924BOYAmt
EOY$239,387,205EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$174,483,389BOYAmt
EOY$165,156,607EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,125,617BOYAmt
EOY$5,575,663EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$788,715BOYAmt
EOY$788,715EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$157,650,892BOYAmt
EOY$172,903,752EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$671,315,108BOYAmt
EOY$676,221,177EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,351,975BOYAmt
EOY$36,716,167EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$231,034,548BOYAmt
EOY$224,864,944EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$25,945BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,137,442BOYAmt
EOY$49,098,109EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$321,549,910BOYAmt
EOY$310,679,220EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$349,765,198BOYAmt
EOY$365,541,957EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$349,765,198BOYAmt
EOY$365,541,957EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$671,315,108BOYAmt
EOY$676,221,177EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,425,172ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,002,986NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,354,573OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$54,996OtherActivitiesAmt
Total Lobbying Expenditures$54,996TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
Explanation$23,378: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $24,159: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. $4,629: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $1,510: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. $696: A PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF SURGEONS ATTRIBUTABLE TO LOBBYING. $624: A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,415,203OtherCostOrOtherBasisAmt
Book Value$28,415,203BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$389,575,090OtherCostOrOtherBasisAmt
Depreciation$229,528,225DepreciationAmt
Book Value$160,046,865BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,535,965OtherCostOrOtherBasisAmt
Depreciation$257,965,694DepreciationAmt
Book Value$48,570,271BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,676,219OtherCostOrOtherBasisAmt
Depreciation$6,321,353DepreciationAmt
Book Value$2,354,866BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$239,387,205TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SELF INSURANCE FUNDS$182,994
TRUSTEED FUNDS$546
DUE FROM RELATED PARTIES$168,290,029
OTHER RECEIVABLES$4,430,183
FieldValueIRS element (for citing)
Total Book Value Other Assets$172,903,752TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
MALPRACTICE COSTS$19,494,197
ACCRUED PENSION$11,345,000
LONG-TERM RETENTION PLAN$404,686
INTEREST RATE SWAP AGREEMENTS$10,440,075
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$1,375,000
LEASES PAYABLE$6,039,151
FieldValueIRS element (for citing)
Total Liability$49,098,109TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, KDHF AND PHC HAVE BEEN RECOGNIZED BY THE IRS AS SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. SECTION 501(C)(3) ORGANIZATIONS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,117,298TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,117,298NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,013,598TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,225,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,787,616NetCommunityBenefitExpnsAmt
Total Expense0.07540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$97,130,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,225,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,904,914NetCommunityBenefitExpnsAmt
Total Expense0.08080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,215,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,215,971NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$209,571TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$209,571NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,425,542TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,425,542NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,556,438TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,225,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,330,456NetCommunityBenefitExpnsAmt
Total Expense0.08690TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$692,363TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$692,363NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$692,363TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$692,363NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,606,247BadDebtExpenseAmt
Reimbursed By Medicare$124,891,311ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$133,742,578CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,851,267MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND HOSPITAL CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.KINGSDAUGHTERSHEALTH.COMWebsiteAddressTxt
State License100958StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITYOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITYStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.KINGSDAUGHTERSHEALTH.COM/PATIENTS-VISITORS/PATIENTSFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.KINGSDAUGHTERSHEALTH.COM/PATIENTS-VISITORS/PATIENTSFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.KINGSDAUGHTERSHEALTH.COM/PATIENTS-VISITORS/PATIENTSFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASHLAND HOSPITAL CORPORATIONPART V, SECTION B, LINE 5: KING'S DAUGHTERS CONDUCTED A CHNA WITH BON SECOURS KENTUCKY, OUR LADY OF BELLEFONTE HOSPITAL BETWEEN SEPTEMBER 2015 AND MARCH 2016. THE CHNA INCLUDED BOTH PRIMARY AND SECONDARY DATA ANALYSIS. THE PRIMARY DATA ENCOMPASSED SURVEYS AND FOCUS GROUPS WITH KEY INDIVIDUALS IN THE COMMUNITY INCLUDING THOSE WITH KNOWLEDGE OF PUBLIC HEALTH, THE BROAD INTERESTS OF THE COMMUNITIES WE SERVE, AS WELL AS INDIVIDUALS WITH SPECIAL KNOWLEDGE OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND VULNERABLE POPULATIONS AND PEOPLE WITH CHRONIC DISEASES. WE WORKED CLOSELY WITH THE HEALTHY CHOICES, HEALTHY COMMUNITIES COALITION AND THE UNIVERSITY OF KY COLLEGE OF PUBLIC HEALTH.
ASHLAND HOSPITAL CORPORATIONPART V, SECTION B, LINE 6A: BON SECOURS KENTUCKY A.K.A. OUR LADY OF BELLEFONTE HOSPITAL & PORTSMOUTH HOSPITAL CORPORATION.
ASHLAND HOSPITAL CORPORATIONPART V, SECTION B, LINE 11: IN 2016, KDMC CONDUCTED A CHNA, THROUGH WHICH SIX PRIMARY NEEDS WERE IDENTIFIED - SUBSTANCE ABUSE, OBESITY, ACCESS TO CARE, POVERTY/UNEMPLOYMENT, DIABETES, AND HYPERTENSION. THE MEDICAL CENTER DEVELOPED AN IMPLEMENTATION PLAN, WHICH COVERS THREE YEARS, TO ADDRESS THESE NEEDS. EACH NEED WAS ADDRESSED USING MULTIPLE APPROACHES, AS FOLLOWS:SUBSTANCE ABUSE: SEVERAL PROGRAMS WERE OFFERED TO TACKLE SUBSTANCE ABUSE, INCLUDING TOBACCO EDUCATION IN LOCAL SCHOOLS AND OFFERING TOBACCO CESSATION FOR PATIENTS AND COMMUNITY MEMBERS. THROUGH PARTNERSHIPS, THE MEDICAL CENTER HELD THREE PROGRAMS TO DIRECTLY IMPACT ABUSE OF ILLICIT SUBSTANCES. TWO OF THESE EDUCATIONAL PROGRAMS PROVIDED TRAINING FOR SOCIAL WORKERS, CASE MANAGERS, AND OTHERS WHO WORK WITH INDIVIDUALS ABUSING DRUGS TO HELP IMPROVE THEIR KNOWLEDGE AND CREATE A BETTER REFERRAL SYSTEM. IN ADDITION, A YOUTH SUMMIT WAS HELD TO EDUCATE YOUNG PEOPLE ABOUT SUBSTANCE ABUSE. THE MEDICAL CENTER ALSO RECLASSIFIED FOUR BEDS IN THE BEHAVIORAL MEDICINE NURSING UNIT FOR DETOX PATIENTS. SAFE MEDICATION TAKE-BACK PROGRAMS WERE ALSO IMPLEMENTED THROUGH COMMUNITY EVENTS AND FIXED SITE DROP-OFFS AT KDMC FAMILY PHARMACIES.OBESITY: AS PART OF TACKLING THE ISSUE OF OBESITY, THE MEDICAL CENTER CHOSE TO ADDRESS NUTRITION, PHYSICAL ACTIVITY, AND BMI. WITH A FOCUS ON HEALTHY EATING, KDMC PROVIDED NUTRITION EDUCATION FOR STUDENTS IN AREA SCHOOLS. WELLNESS PROGRAMS WERE PROVIDED FOR SCHOOL STAFF WHICH INCLUDED A HEALTHY LIVING CHALLENGE. AT COMMUNITY EVENTS, KDMC STAFF PROVIDED NUTRITION EDUCATION. SPECIAL EVENTS HELD INCLUDED NUTRITION EDUCATION AND HEALTHY COOKING DEMONSTRATIONS. IN ADDITION, KDMC HELPED MEET THE NEEDS OF VULNERABLE POPULATIONS THROUGH SPONSORSHIP OF THE MEALS-ON-WHEELS PROGRAM, HELPING COLLECT FOOD FOR THE LOCAL FOOD PANTRY THROUGH THE FOOD FEUD AND SPONSORING A FARMER'S MARKET ON CAMPUS WHICH IS LOCATED IN A HEALTHY FOOD DESERT. TO ADDRESS PHYSICAL ACTIVITY, KDMC SPONSORED FOUR EVENTS THAT INCLUDED PHYSICAL ACTIVITY AND EDUCATION ENCOURAGING PEOPLE TO BE PHYSICALLY ACTIVE. THROUGH THE ELECTRONIC MEDICAL RECORD, PRIMARY CARE PROVIDERS NOW INCLUDE BMI AS PART OF THE PATIENT ASSESSMENT. WELLNESS PROGRAMS ALSO INCLUDE BMI ASSESSMENT AS PART OF THEIR PROGRAMMING.ACCESS TO CARE: TO IMPROVE ACCESS TO CARE, KDMC ESTABLISHED SCHOOL-BASED CLINICS IN FOUR SCHOOL DISTRICTS IN THE SERVICE AREA. A 24/7 CARE LINE WAS CREATED TO HELP COMMUNITY MEMBERS REACH A NURSE TO ANSWER QUESTIONS ABOUT THEIR HEALTH OR AID THEM IN GETTING AN APPOINTMENT OR WITH PRESCRIPTION MEDICATIONS. KDMC ALSO EXPANDED ACCESS TO PRIMARY CARE, PEDIATRIC CARE, URGENT CARE, AND WALK-IN CLINICS, WHICH HAS IMPROVED HOW QUICKLY APPOINTMENTS CAN BE PROVIDED. THROUGH MOBILE SERVICES, KDMC TAKES MAMMOGRAPHY AND CARDIAC SCREENINGS INTO AREAS OF THE REGION THAT HAVE LIMITED HEALTHCARE SERVICES. IN ADDITION, KDMC OFFERS LOW-COST BLOOD PROFILES AND VASCULAR SCREENINGS THROUGHOUT THE REGION TO OFFER AFFORDABLE OPTIONS IN CONVENIENT LOCATIONS. POVERTY/UNEMPLOYMENT: POVERTY AND UNEMPLOYMENT ARE TOUGH ISSUES TO TACKLE FOR A SINGLE ORGANIZATION. KDMC CHOSE TO WORK WITH AREA PARTNERS AND PROVIDE STAFF AT CAREER FAIRS AND AS SPEAKERS ON HEALTHCARE CAREERS AT LOCAL COLLEGES/UNIVERSITIES, TECHNICAL SCHOOLS, AND HIGH SCHOOLS. IN ADDITION, THROUGH DONATIONS FROM KDMC, ASHLAND INDEPENDENT SCHOOL WAS ABLE TO EXPAND ITS HEALTH CAREERS CLASSES FROM ONE TO FOUR CAREER PATHS. DIABETES: DURING THE FISCAL YEAR, KDMC STAFF CONDUCTED AN EVALUATION FOR THE NEED TO DO DIABETES EDUCATION AND TESTING IN AREA SCHOOLS. A PLAN IS UNDER DEVELOPMENT TO ADDRESS THESE NEEDS. KDMC ALSO CONDUCTED FREE SCREENING EVENTS AND OFFERED LOW-COST A1C BLOOD PROFILES THROUGHOUT THE REGION TO HELP IDENTIFY PEOPLE WHO MAY HAVE PRE-DIABETES OR DIABETES AND TO EDUCATE THEM ABOUT SEEKING CARE AND ASSISTING INDIVIDUALS WHO ARE MANAGING THEIR CONDITION. HYPERTENSION: KDMC PROVIDED MULTIPLE SCREENING AND EDUCATION EVENTS FOCUSED ON HYPERTENSION IN THE SERVICE AREA AND BEYOND. MATERIALS WERE PROVIDED TO PARTICIPANTS ON HOW TO LOWER OR MAINTAIN A HEALTHY BLOOD PRESSURE.IN ADDITION TO THE PROGRAMMING FOCUSED SPECIFICALLY ON THE SIX PRIMARY NEEDS FROM THE CHNA, KDMC PROVIDED ADDITIONAL PROGRAMMING IN THE PRIMARY, SECONDARY AND TERTIARY MARKET, INCLUDING HEALTH SCREENINGS, HEALTH EDUCATION PROGRAMS, SUPPORT GROUPS, CLINICAL RESEARCH OPPORTUNITIES, BLOOD DRIVES, MOBILE SERVICES, AND OTHERS.KDMC ADDRESSED ALL OF THE SIGNIFICANT NEEDS IDENTIFIED THROUGH THE CHNA. ALL GOALS AND OBJECTIVES FOR THE THREE-YEAR PLAN ARE CURRENTLY BEING MET.
ASHLAND HOSPITAL CORPORATIONPART V, SECTION B, LINE 13H: DOES NOT COVER SERVICES DEEMED NOT MEDICALLY NECESSARY.
ASHLAND HOSPITAL CORPORATIONPART V, SECTION B, LINE 24: ONLY FOR SERVICES EXCLUDED FROM ELIGIBILITY AS DEFINED WITHIN THE FAP, WHICH ARE DEFINED AS ELECTIVE SERVICES AND THEREFORE NOT MEDICALLY NECESSARY.
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CENTER FOR ADVANCED IMAGING
2225 CENTRAL AVENUEASHLANDKY41101OUTPATIENT IMAGING CENTER
2 - ASHLAND URGENT CARE
2245 WINCHESTER AVENUEASHLANDKY41101URGENT CARE
3 - GRAYSON URGENT CARE
I-64 INTERCHANGEGRAYSONKY41143URGENT CARE
4 - IRONTON URGENT CARE
912 PARK AVENUEIRONTONOH45638URGENT CARE
5 - OUTPATIENT SERVICES CENTER
480 23RD STREETASHLANDKY41101PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
6 - CATLETTSBURG FAMILY CARE CENTER
4004 LOUIS RDCATLETTSBURGKY41129FAMILY CARE CENTER
7 - CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC
10650 US ROUTE 60ASHLANDKY41102FAMILY CARE CENTER/PEDIATRICS
8 - FLATWOODS FAMILY CARE
1107 BELLEFONTE RDFLATWOODSKY41139FAMILY CARE CENTER
9 - GRAYSON MEDICAL SPECIALTIES
609 N CAROL MALONE BLVDGRAYSONKY41143FAMILY CARE CENTER
10 - FLATWOODS MEDICAL SPECIALTIES
1109 BELLEFONTE RDFLATWOODSKY41139FAMILY CARE CENTER
11 - OLIVE HILL FAMILY CARE CENTER
391 WEST TOM T HALL BOULEVARDOLIVE HILLKY41164FAMILY CARE CENTER
12 - BURLINGTON FAMILY CARE CENTER
384 COUNTRY ROAD 120 SOUTHSOUTH POINTOH45680FAMILY CARE CENTER
13 - IRONTON FAMILY CARE CENTER
912 PARK AVENUEIRONTONOH45638FAMILY CARE CENTER
14 - JACKSON MEDICAL SPECIALTIES
14395 STATE ROUTE 93JACKSONOH45640FAMILY CARE CENTER
15 - PORTSMOUTH MEDICAL SPECIALTIES
2001 SCIOTO TRAILPORTSMOUTHOH45662FAMILY CARE CENTER
16 - WHEELERSBURG FAMILY CARE
8750 OHIO RIVER ROADWHEELERSBURGOH45694FAMILY CARE CENTER
17 - SANDY HOOK FAMILY CARE CENTER
STATE ROUTES 7 AND 32SANDY HOOKKY41171FAMILY CARE CENTER
18 - KDMC OCCUPATIONAL MEDICINE
2301 LEXINGTON AVE STE 215ASHLANDKY41101OCCUPATIONAL MEDICINE
19 - KDMC HOME HEALTH
2301 LEXINGTON AVE STE 305ASHLANDKY41101HOME HEALTH SERVICES
20 - PRESTONSBURG FAMILY CARE
1279 OLD ABBOT MOUNTAIN RDPRESTONBURGKY41653FAMILY CARE CENTER
21 - RUSSELL WALK-IN CAREHALL FAMILY CARE
399 DIEDERICH BLVDRUSSELLKY41169WALK-IN CLINIC AND FAMILY CARE CENTER
22 - BURLINGTON URGENT CARE
384 COUNTRY ROAD 120 SOUTHSOUTH POINTOH45680URGENT CARE
23 - KDMC SKILLED NURSING FACILITY
2201 LEXINGTON AVENUEASHLANDKY41101SKILLED NURSING

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:KDMC USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST. TO CALCULATE UNPAID COSTS OF MEDICAID, THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED, ALONG WITH DATA FROM THE KY MEDICAID COST REPORT. ALL OTHER ITEMS WERE REPORTED AS NET EXPENSE.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $23,124,129.
PART II, COMMUNITY BUILDING ACTIVITIES:THE EXPENSES REPORTED IN PART II FOR COMMUNITY BUILDING ACTIVITIES ARE THE EXPENSES ASSOCIATED WITH RECRUITING PHYSICIANS TO MEDICALLY UNDER-SERVED AREAS (MURS). THESE EXPENSES ARE NECESSARY TO ENSURE OUR COMMUNITY IS STAFFED WITH THE PHYSICIANS TO MEET THE NEEDS OF THE PEOPLE LIVING HERE.
PART III, LINE 2:KDMC USED WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3:BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. HOWEVER, THE BUSINESS OFFICE DOES NOT KEEP TRACK OF "NO-RESPONSE" APPLICATIONS AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE ALLOWABLE COSTS PER THE MEDICARE COST REPORT, THE MOST RECENT COST REPORT DATA, AND PROVIDER STATISTICAL AND REIMBURSEMENT REPORT WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B:THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE.
PART VI, LINE 2:WE USE A VARIETY OF RESOURCES TO HELP MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES, INCLUDING INFORMATION FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT, STATE AND COUNTY MORTALITY DATA AND HOSPITAL DATA. WE HAVE AN ACTIVE PATIENT ADVISORY COUNCIL THAT GIVES INPUT ON NEEDS, ACTIVITIES, AND PROCESSES FOR THE MEDICAL CENTER. WE HAVE CHAPLAINS, PATIENT REPRESENTATIVES AND SOCIAL WORKERS WHO ALSO HELP IDENTIFY AND MEET NEEDS. WE ARE ACTIVELY INVOLVED IN THE COMMUNITY PARTICIPATING ON A HEALTH COALITION, NON-PROFITS BOARDS, ATTENDING COMMUNITY PROGRAMS/MEETINGS AND OTHER ACTIVITIES TO HELP KEEP US INFORMED OF NEEDS, CONCERNS AND ISSUES. ONCE WE KNOW WHAT ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH INITIATIVES ARE BUILT INTO THE MEDICAL CENTER'S STRATEGIC PLAN.
PART VI, LINE 3:THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH OUTSIDE VENDORS TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE VARIOUS WAYS THE FINANCIAL ASSISTANCE PROGRAM IS CONVEYED TO THE COMMUNITY: KDMC WEBSITE, SIGNS IN VARIOUS PATIENT REGISTRATION AREAS, OUTBOUND/INBOUND CUSTOMER SERVICES CALLS, STATEMENT LANGUAGE, AND CERTAIN COMMUNITY EVENTS ( "IN THE KNOW" NIGHT FOR BOYD CO. SCHOOLS).
PART VI, LINE 4:KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA LINE MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE IN KY AND LAWRENCE AND SCIOTO IN OHIO. ABOUT 260,000 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 2,392 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 190 PERSONS PER SQUARE MILE. THE AREA IS PREDOMINANTLY RURAL (47.19%), WITH AN URBAN POPULATION AT 35.3% AND SUBURBAN (17.5%). OF THE POPULATION, 96.2% ARE WHITE, 1.6% ARE BLACK AND 2.2% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.8%) THAN MALES (49.2%) IN THE AREA. PER CAPITA INCOME IS $22,432, COMPARED TO KENTUCKY ($25,888) AND OHIO ($29,011). APPROXIMATELY 23% OF THE POPULATION LIVES IN POVERTY. OVER SIX-PERCENT OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE.
PART VI, LINE 5:TO REACH OUR COMMUNITIES AND TO PROVIDE THE BEST OUTREACH SERVICES POSSIBLE, WE PARTNER WITH A DIVERSE GROUP OF BOTH PUBLIC AND PRIVATE ENTITIES. WE HAVE ESTABLISHED PARTNERSHIPS WITH AREA RETAILERS, HEALTH DEPARTMENTS, FACTORIES, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, SUSAN G. KOMEN, CARES, COMMUNITY KITCHEN, SAFE HARBOR, 16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, SHELTER OF HOPE, ASHLAND AREA YMCA, AREA SENIOR CITIZENS CENTERS AND MORE THAN 150 CHURCHES. WE SEND OUR OUTREACH TEAMS OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM - SCHOOLS, MALLS, CHURCHES, LIBRARIES, WORKSITES, GROCERY STORES AND MORE. SERVICES PROVIDED INCLUDE MORE THAN 50 SCREENING AND EDUCATIONAL EVENTS EACH MONTH, MOBILE HEALTH SERVICES, COORDINATION OF A REGIONAL CPR TRAINING CENTER AND A MEALS ON WHEELS PROGRAM.ADDITIONAL COMMUNITY HEALTH ACTIVITIES:THE MEDICAL CENTER PROVIDES FREE EDUCATIONAL AND SCREENING SERVICES IN AN AREA BROADER THAN THE PRIMARY MARKET. THIS AREA INCLUDES MULTIPLE COUNTIES IN EASTERN KENTUCKY, SOUTHERN OHIO AND WESTERN WEST VIRGINIA. KDMC WORKS WITH CHURCHES, SCHOOLS, BUSINESSES AND COMMUNITY GROUPS TO HELP IMPROVE HEALTH THROUGHOUT THE TRI-STATE AREA. AS A LEADER IN HEALTHCARE IN THE AREA, KDMC IS OFTEN CALLED UPON TO PROVIDE SCREENINGS AND HEALTH EDUCATION IN MORE REMOTE REGIONS WHERE THERE ARE NO PROVIDERS TO OFFER THESE SERVICES. THE FOLLOWING ACTIVITIES, WHICH CONTRIBUTE TO COMMUNITY HEALTH, BUT ARE NOT SPECIFIC TO THE IMPLEMENTATION PLAN GOALS AND OBJECTIVES WERE PROVIDED (COVERED AREAS INCLUDE PRIMARY, SECONDARY AND TERTIARY COUNTIES UNLESS OTHERWISE STATED):SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- CARPAL TUNNEL SCREENING 7 ADULTS SCREENED- DERMA SCAN FOR SKIN DAMAGE 30 ADULTS SERVED- GENERAL HEALTH SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE AND BLOOD SUGAR TESTS) 561 ADULTS SCREENED, TOTAL TESTS PROVIDED 2,119 - HEALTHY HEART SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) 538 ADULTS SCREENED, TOTAL TESTS PROVIDED 2,767 SCREENED - JOINT PAIN 81 ADULTS SCREENED- MOBILE MAMMOGRAPHY 1,529 WOMEN SERVED- PROSTATE CANCER 30 ADULTS SCREENED- SKIN CANCER 63 ADULTS- SPORTS PHYSICALS- 125 ADULTS (COLLEGE), 1,260 YOUTH- FLU SHOTS 1,887- VASCULAR SCREENINGS (LOW COST) 16 ADULTS SERVEDHEALTH EDUCATION:- AUTOMATED EXTERNAL DEFIBRILLATOR 15 ADULTS SERVED- BONE HEALTH 330 ADULTS AND 250 CHILDREN SERVED- BRAIN HEALTH 225 ADULTS SERVED- BREAST CANCER 2,584 ADULTS, 84 CHILDREN SERVED- CONCUSSION 150 ADULTS SERVED- CONGESTIVE HEART FAILURE 541 ADULTS- COLON CANCER 330 ADULTS- DENTAL HEALTH 200 ADULTS AND 250 CHILDREN- DIABETES 1,717 ADULTS, 586 CHILDREN SERVED- FAMILY AND FRIENDS CPR 14 ADULTS AND 2 CHILDREN- FIRE SAFETY 10 ADULTS- FIRST AID 28 ADULTS, 8 CHILDREN SERVED- FLU PREVENTION 192 ADULTS AND 55 CHILDREN SERVED- HAND WASHING 1,257 ADULTS, 888 CHILDREN SERVED- HEALTHY HEART EDUCATION 1,282 ADULT, 358 CHILDREN SERVED- HEPATITIS A EDUCATION IN RESPONSE TO A COMMUNITY OUTBREAK OF HEP A, KDMC PROVIDED EDUCATION THROUGHOUT THE AFFECTED AREA 848 INDIVIDUAL WERE SERVED- HEPATITIS C EDUCATION 42 SERVED- HYPERTENSION 234 ADULTS SERVED- IMMUNIZATIONS 25 ADULTS, 5 CHILDREN SERVED- LUNG CANCER 445 ADULTS AND 122 CHILDREN SERVED- MEDICATION SAFETY 130 ADULTS, 1,194 CHILDREN SERVED- NUTRITION EDUCATION 1,592 ADULTS, 2,442 CHILDREN/YOUTH SERVED - POISON PREVENTION 57 ADULTS, 115 CHILDREN SERVED- PREGNANCY/PARENTING EDUCATION 121 ADULTS AND 62 CHILDREN SERVED- PROSTATE CANCER 171 ADULTS SERVED- SANE FOR NURSING STUDENTS 60 SERVED- SCHOOL BUS SAFETY 326 ADULTS SERVED- SKIN CANCER 430 ADULTS, 56 CHILDREN SERVED- STRESS 129 SERVED- STROKE 1,751 ADULTS SERVED, 544 CHILDREN SERVED - STOP THE BLEED OR FIRST RESPONDERS 48 SERVED- STUFFEE 50 ADULTS AND 50 CHILDREN SERVED- SUMMER SAFETY 447 ADULTS, 71 CHILDREN/YOUTH SERVED- THYROID HEALTH 225 ADULTS SERVED- TOBACCO 861 ADULTS, 680 CHILDREN/YOUTH - VEHICLE SAFETY 250 ADULTS, 100 CHILDREN SERVEDSUPPORT GROUPS: KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY18, THE FOLLOWING GROUPS WERE OFFERED.- ADULT DIABETES MELLITUS 42 ATTENDED- CHOOSE TO LOSE 3 ATTENDED- DIABETES 49 ATTENDED- LOOK GOOD, FEEL BETTER 24 ATTENDED- PARKINSON'S DISEASE 72 ATTENDED- SURGICAL WEIGHT LOSS 47 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIOLOGY AND ONCOLOGY. ONCOLOGY COMMUNITY NEEDS ASSESSMENT: THE ONCOLOGY SERVICE LINE CONDUCTED A COMMUNITY NEEDS ASSESSMENT IN FY 2018 TO HELP DRIVE THE PATIENT NAVIGATION PROCESS TO ADDRESS HEALTHCARE DISPARITIES AND BARRIERS TO CANCER CARE. THE CHNA WAS USED TO IDENTIFY THE COMMUNITY, FACTORS CONTRIBUTING TO DISPARITIES, BARRIERS TO CARE AND AVAILABILITY OF RESOURCES. THE RESULTS SERVE AS THE BUILDING BLOCKS TO FUTURE NAVIGATIONAL NEEDS AND THE DEVELOPMENT OF PATIENT RESOURCES NEEDED ON-SITE OR BY REFERRAL. OTHER COMMUNITY ACTIVITIES:BLOOD DRIVES - KDMC HOSTED 13 BLOOD DRIVES ON KDMC CAMPUSES. A TOTAL OF 508 COMMUNITY AND TEAM MEMBERS DONATED BLOOD.LOW COST BLOOD TESTS - AS PART OF KDMC'S LOW COST BLOOD PROFILES, INDIVIDUALS RECEIVE A FASTING GLUCOSE TEST. THIS TEST CAN TELL THE INDIVIDUAL IS THEY HAVE ABNORMAL BLOOD SUGAR READINGS. KDMC HOSTED 13 EVENTS, WITH 921 PEOPLE TESTED. IN ADDITION, FOR AN EXTRA $5 AN A1C TEST CAN BE ADDED TO THE PROFILE. DURING 2017, 738 PEOPLE ADDED THE A1C TEST TO CHECK THEIR THREE-MONTH AVERAGE BLOOD SUGAR READING.FIRST AID STATION-KDMC OFFERS FIRST AID STATION SUPPORT FOR AREA EVENTS. DURING THE FISCAL YEAR, 237 ADULTS AND 557 CHILDREN WERE SERVED.FOOD FEUD THE FOOD FEUD IS A FOOD DRIVE COMPETITION BETWEEN KDMC AND OUR LADY OF BELLEFONTE HOSPITAL TO SEE WHICH HOSPITAL CAN COLLECT THE MOST NON-PERISHABLE FOOD FOR DONATION TO RIVER CITIES HARVEST. KDMC WON WITH A DONATION OF 27,137 POUNDS OF FOOD.BACKPACK PROGRAM- THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 116 ELEMENTARY, MIDDLE AND HIGH SCHOOL AGED CHILDREN TO ENSURE STUDENTS START THE SCHOOL YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT OF CLOTHES.FARMER'S MARKET KDMC, WORKING WITH THE BOYD COUNTY COOPERATIVE EXTENSION SERVICE, HOSTS A FARMER'S MARKET ON SITE OF ITS 24TH STREET PARKING LOT. THE FARMER'S MARKET BRINGS FRESH PRODUCE AT A REASONABLE PRICE TO ONE OF ASHLAND'S LOWER INCOME NEIGHBORHOODS, WHICH ALSO IS A FOOD DESSERT AREA. THE MARKET IS OPEN ONE DAY PER WEEK, JUNE THROUGH SEPTEMBER.RIVER CITIES HARVEST KDMC PROVIDED RIVER CITIES HARVEST (RCH) WITH A USED CARGO VAN TO HELP WITH FOOD COLLECTION. IN ADDITION, KDMC DONATED 9,890 POUNDS OF FOOD FROM THE HOSPITAL CAFETERIA. THE FOOD IS COLLECTED EACH WEEKLY AND DELIVERED TO RCH BY VOLUNTEERS. KDMC ALSO PURCHASED $2,000 WORTH OF LIVESTOCK FROM THE BOYD COUNTY FAIR, WHICH WAS DONATED TO RCH FOR PROCESSING AND DISTRIBUTION TO THOSE IN NEED. IN ADDITION, KDMC DONATED A CARGO VAN TO RCH FOR USE PICKING UP AND DELIVERING FOOD.MEDICATION TAKE BACK PROGRAM: KING'S DAUGHTERS FAMILY PHARMACY IN ASHLAND ACCEPTS UNUSED MEDICATIONS AT ANY TIME, REGARDLESS OF WHEN A PRESCRIPTION WAS FILLED. THIS PROGRAM GIVES THE PUBLIC THE OPPORTUNITY TO PREVENT MEDICATION ABUSE AND THEFT BY RIDDING THEIR HOMES OF POTENTIALLY DANGEROUS EXPIRED, UNUSED AND UNWANTED PRESCRIPTION DRUGS. AN EASY-TO-USE CONTAINER INSIDE THE FAMILY PHARMACY AT MEDICAL PLAZA B IN ASHLAND MAKES IT CONVENIENT TO PROPERLY DISPOSE OF ALL TYPES OF MEDICATIONS. ADOPT-A-FAMILY- TEAM MEMBERS ADOPTED 30 FAMILIES, 26 NURSING HOME RESIDENTS AND 90 INDIVIDUAL CHILDREN, PROVIDING GIFTS AND FOOD TO THOSE IN NEED AT CHRISTMAS TIME. IN ADDITION, A CHRISTMAS PARTY WAS PROVIDED FOR THE SHELTER OF HOPE RESIDENTS AND RESIDENTS WERE PROVIDED STOCKINGS.BUILD-A-BED- BUILD-A-BED IS AN EFFORT OF MOREHEAD STATE UNIVERSITY THAT PUTS TOGETHER BEDS FOR UNDERPRIVILEGED CHILDREN IN THE REGION. THESE BEDS COME INTO KDMC'S PRIMARY SERVICE AREA THROUGH AN APPLICATION PROCESS WHERE PARENTS/GUARDIANS CAN APPLY FOR BEDS FOR THEIR CHILDREN. THE APPLICANTS MUST MEET INCOME ELIGIBILITY GUIDELINES. KDMC SUPPLIED 40 BED KITS (COMFORTER, SHEETS, PILLOW) FOR THE BEDS. IN ADDITION, HYGIENE ITEMS AND A STUFFED TOY WERE PROVIDED WITH EACH BED KIT FOR THE CHILDREN RECEIVING BEDS.JOE STEVENS COAT DRIVE IN HONOR OF A TEAM MEMBER THAT DIED OF CANCER AND HAD DONATED HIS COAT TO A HOMELESS PATIENT SEEKING CARE IN THE EMERGENCY ROOM, KDMC COLLECTS COATS EACH YEAR AND DONATES THEM TO LOCAL CHARITIES THAT SERVE THE HOMELESS AND OTHERS. IN FY18, KDMC COLLECTED AND DONATED 997 COATS AND 60 HYGIENE PACKS FOR THE HOMELESS.CPR TRAINING CENTER: KDMC'S CPR TRAINING CENTER PROVIDED BASIC LIFE SUPPORT, ADVANCED LIFE SUPPORT AND/OR PEDIATRIC ADVANCED LIFE SUPPORT TRAINING TO 3,820 INDIVIDUALS.
OTHER ACTIVITIES:EASTER BASKETS KDMC COLLECTED EASTER BASKETS FOR RESIDENTS OF SHELTER OF HOPE. THERE WERE 29 BASKETS PROVIDED TO CHILDREN IN THE SHELTER.CRABBE ELEMENTARY KDMC COLLECTED FOOD AND CLOTHING TO HELP REPLACE ITEMS STOLEN FROM THE CRABBE ELEMENTARY FAMILY RESOURCE CENTER'S PANTRY AND CLOTHING CLOSET.CHILDBIRTH CLASSES CHILDBIRTH CLASSES HELP MOTHERS-TO-BE AND THEIR PARTNERS BECOME MORE COMFORTABLE WITH THE BIRTH EXPERIENCE, LEARN BIRTHING OPTIONS, NUTRITION, THE LABOR PROCESS, AND PAIN MANAGEMENT, TO HELP THEM MAKE THE BEST DECISIONS ABOUT HOW THEY WISH TO GIVE BIRTH. PARENTS-TO-BE ALSO LEARN ABOUT THE BENEFITS OF BREAST FEEDING. DURING FY18, KDMC WANTED TO MAKE CHILDBIRTH EDUCATION MORE ACCESSIBLE. THE WOMEN'S HEALTH TEAM, IN PARTNERSHIP WITH LOCAL OB/GYN PHYSICIANS, CREATED A CHILDBIRTH CLASSROOM IN THE DOCTOR'S PRACTICE AND PROVIDED A NURSE CHILDBIRTH EDUCATOR/LACTATION CONSULTANT ON MONDAY AND WEDNESDAY DURING THE OFFICE'S BUSIEST APPOINTMENT DAYS. BY ABANDONING THE TRADITIONAL ALL-DAY CHILDBIRTH CLASS AND PROVIDING MORE ONE-ON-ONE OR SMALL GROUP EDUCATION SESSIONS IN THE DOCTOR'S OFFICE, KDMC HAS BEEN ABLE TO REACH 10 TIMES AS MANY MOTHERS-TO-BE, SERVING 274 MOTHERS AND 465 (WHEN INCLUDING SIGNIFICANT OTHERS) TOTAL IN THESE SESSIONS.
PART VI, LINE 6:KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM OPERATES ANOTHER HOSPITAL, KING'S DAUGHTERS MEDICAL CENTER OHIO ("KDOH") IN PORTSMOUTH, OH. KDOH HAS BEEN SPECIFICALLY DESINGED TO MEETING THE HEALTHCARE NEEDS OF PORTSMOUTH AND ITS SURROUNDING AREAS. KDOH OFFERS SURGICAL AND URGENT CARE SERVICES. KDOH PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH KING'S DAUGHTERS MEDICAL SPECIALITIES, INC. ("KDMS"). KDMS PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. KING'S DAUGHTERS ALSO INCLUDES TWO OTHER AFFILIATES - KING'S DAUGHTERS MEDICAL TRANSPORT, WHICH SEEKS TO CONTINUOUSLY IMPROVE THE PRE- AND POST-HOSPITAL HEALTHCARE PROVIDED IN ALL OF IT'S SERVCIES AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED; AND KINGSBROOK NURSING HOME, WHICH PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
AMERICAN RED CROSS
510 E CHESTNUT STREETLOUISVILLEKY40202530196605501(C)(3)$3,000$4,450INVOICESFOODCONTRIBUTION TO DANCING WITH OUR STARS & FOOD FOR MONTHLY BLOOD DRIVES
ASHLAND COMMUNITY KITCHEN
PO BOX 1743ASHLANDKY411051743611100724501(C)(3)$44,565$3,118INVOICESFOOD AND MISC. SUPPLIESPROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS
HIGHLANDS MUSEUM AND DISCOVERY CENTER
1620 WINCHESTER AVENUEASHLANDKY41101311061542501(C)(3)$10,500$0N/AN/ASPONSORHIP OF FUNDRAISING EVENT AND MUSEUM EXHIBIT
NEIGHBORS HELPING NEIGHBORS
2516 CARTER AVENUEASHLANDKY41101611450110501(C)(3)$5,600$0N/AN/ASPONSORHIP OF 2 FUNDRAISING EVENTS
PARAMOUNT ARTS CENTER
1300 WINCHESTER AVENUEASHLANDKY41101611181883501(C)(3)$17,000$180INVOICESLEAF BLOWERSPONSORSHIP OF ANNUAL SPRING GALA FUNDRAISER, POSTCARD FUNDRAISING EVENT, AND ARTS & MUSIC FESTIVAL
RIVER CITIES HARVEST
PO BOX 2136ASHLANDKY411052136611208113501(C)(3)$8,650$0N/AN/AFOODBANK SUPPORT & SPONSORSHIP OF FUNDRAISING EVENT
SAFE HARBOR OF NORTHEAST KENTUCKY
PO BOX 2163ASHLANDKY411052163611155742501(C)(3)$7,750$0N/AN/ASPONSORSHIP OF ANNUAL LOBSTER FEST FUNDRAISER AND AWARDS CEREMONY
SUMMER MOTION
PO BOX 1643ASHLANDKY41105311695435501(C)(4)$5,000$840INVOICESFOODSUPPORT OF ANNUAL COMMUNITY FESTIVAL & VOLUNTEERS
UNITED WAY OF NORTHEAST KENTUCKY
2000 CARTER AVENUE SUITE DASHLANDKY41101616000060501(C)(3)$13,718$11,584INVOICESMARKETING MATERIALSCONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN
ASHLAND ALLIANCE
1730 WINCHESTER AVENUEASHLANDKY41101611347516501(C)(6)$6,045$1,943INVOICESFOODSPONSORSHIP OF ANNUAL AWARDS CEREMONY, YOUTH LEADERSHIP BANQUET, AND 2 FUNDRAISING EVENTS
BOYD COUNTY COOPERATIVE EXTENSION AGENCY
2420 CENTER STREETCATLETTSBURGKY41129900992379501(C)(3)$0$12,000INVOICESTENTSUPPORT OF LOCAL FARMERS MARKET
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationKING'S DAUGHTERS MEDICAL CENTER MAKES GRANTS/CONTRIBUTIONS TO ORGANIZATIONS BASED ON THE NEED OF THE ORGANIZATION AND THE TYPE OF EVENT IT SUPPORTS. MOST CONTRIBUTIONS ARE TO NON-PROFIT ORGANIZATIONS THAT FULFILL A NEED IN THE COMMUNITY, PROMOTE HEALTHY LIVING AND/OR ARE ECONOMIC-DEVELOPMENT BASED. ALL REQUESTS MUST BE MADE IN WRITING TO KDMC OUTLINING WHAT IS NEEDED AND HOW IT WILL BE USED. CONTRIBUTIONS ARE TRACKED AND DOCUMENTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KRISTIE WHITLATCH
PRESIDENT/CEO$602,774$0$90,554$0$137,225$0$5,400$0$16,498$0$852,451$0$115,099$0
SHERYL MAHANEY NON-VOTING
SECRETARY, VP/CHIEF LEGAL$281,378$0$42,345$0$92,088$0$5,400$0$16,356$0$437,567$0$90,156$0
AUTUMN MCFANN NON-VOTING
TREASURER, VP/CFO$284,978$0$42,885$0$4,664$0$5,400$0$16,356$0$354,283$0$0$0
JAMES DETHERAGE MD
DIRECTOR/PRESIDENT MED STAFF/CMO$24,000$468,454$0$0$0$90$0$5,400$0$23,778$24,000$497,722$0$0
KELLY HURT
VP PEOPLE SERVICES$208,878$0$31,500$0$626$0$2,730$0$17,072$0$260,806$0$0$0
SARA MARKS
VP/EXECUTIVE DIRECTOR KDIP$218,477$0$33,435$0$14,998$0$5,400$0$27,912$0$300,222$0$0$0
RICHARD FORD MD
VP/CMO OF INPATIENT/PROC.$28,740$507,453$0$0$0$0$0$5,400$106$15,735$28,846$528,588$0$0
EVAN CONDEE DO
PHYSICIAN$386,110$0$0$0$54$0$5,400$0$9,331$0$400,895$0$0$0
CHARLES CONLEY DO
PHYSICIAN$374,770$0$0$0$90$0$5,400$0$26,484$0$406,744$0$0$0
JANE STRADER MD
PHYSICIAN$251,192$0$12,222$0$20,060$0$5,400$0$14,844$0$303,718$0$0$0
PATRICK BALL DO
PHYSICIAN$369,465$0$0$0$396$0$5,400$0$15,564$0$390,825$0$0$0
MARIA NASH MD
PHYSICIAN$251,153$0$6,667$0$5,243$0$5,083$0$24,340$0$292,486$0$0$0
MATTHEW EBAUGH UNTIL 51717
FORMER CHIEF STRATEGY OFFICER/CIO$106,517$0$0$0$93,134$0$0$0$26,289$0$225,940$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationSEVERANCE PAYMENT: A FORMER KEY EMPLOYEE, MATTHEW EBAUGH, RECEIVED SEVERANCE PAYMENT IN THE AMOUNT OF $83,077 IN 2017. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: KRISTIE WHITLATCH - $115,099 SHERYL MAHANEY - $90,156 THERE WERE NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS IN 2017. THE CEO AND VICE PRESIDENTS ARE ELIGIBLE TO RECEIVE DISCRETIONARY INCENTIVES BASED ON CERTAIN METRICS (QUALITY MEASURES, INDIVIDUAL GOALS, ETC.). THESE AWARDS ARE DETERMINED BY THE BOARD AND VESTED OVER A 5-10 YEAR PERIOD IF THE INDIVIDUAL REMAINS WITH THE ORGANIZATION. THE CEO AND CERTAIN VICE PRESIDENTS, WHOSE BENEFIT IN THE QUALIFIED TAX SHELTERED ANNUITY PLAN IS LIMITED DUE TO THE IRS COMPENSATION AND BENEFIT LIMITS, RECEIVE A BENEFIT RESTORATION CONTRIBUTION UNDER THE DEFERRED ANNUITY PLAN THAT IS PAID AS A TAXABLE DISTRIBUTION TO THE PARTICIPANT ANNUALLY.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
A610600439491269CG92008-09-24$146,580,000REFUND PRIOR BOND ISSUES000
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
B610600439491269CY02010-04-01$75,000,000HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT000
CITY OF ASHLAND KENTUCKY
C616001775044293AA62010-04-01$32,615,000REFUND SERIES 1998 BOND000
CITY OF ASHLAND KENTUCKY
D616001775044293AN82016-09-23$73,445,000REFUND PRIOR BOND ISSUES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$119,125,000$145,708,338$1,423,351$12,574,982$131,710,0052010Yes (1)0Yes (1)Yes (1)
B$18,290,000$73,889,274$1,170,837$72,718,420201500Yes (1)Yes (1)$17
C$13,390,000$33,986,558$507,546$33,479,0122010Yes (1)0Yes (1)Yes (1)
D$4,120,000$81,984,559$1,200,341$80,784,2182016Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2018 ISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015 ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015
PART II, LINE 3, ISSUE ASERIES 2008C BOND DISCOUNT $871,662. ALSO, THE BOND ISSUES LISTED ON SCHEDULE K, PART I, LINE A CONSISTED OF THREE SERIES: SERIES 2008A, CUSIP 49126CG9, ISSUE PRICE 50,000,000 VARIABLE RATE ISSUE; SERIES 2008B, CUSIP 401269CH7, ISSUE PRICE 50,000,000, VARIABLE RATE ISSUE; SERIES 2008C, CUSIP 491269CJ3, ISSUE PRICE $46,580,000, FIXED RATE ISSUE.
PART II, LINE 3, ISSUE BSERIES 2010A DIFFERENCE FROM PART I DUE TO BOND DISCOUNT $1,318,161.05, OFFSET BY $207,435 INTEREST EARNED.
PART II, LINE 3, ISSUE CSERIES 2010B - DIFFERENCE FROM PART I DUE TO BOND PREMIUM $1,371,558.05
PART II, LINE 3, ISSUE DSERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF ASHLAND KENTUCKYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN616001775BondIssuerEIN
Bond Issued2016-09-23BondIssuedDt
Issue Price$50,000,000IssuePriceAmt
PurposeREFUND PRIOR BOND ISSUESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,375,097RetiredAmt
Total Proceeds$50,000,000TotalProceedsAmt
Issuance Costs From Proceeds$254,000IssuanceCostsFromProceedsAmt
Other Spent Proceeds$49,746,000OtherSpentProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANNE SLOAN
SEE PART V$50,411SEE PART V0
ASHLAND OFFICE SUPPLY
SEE PART V$771,954SEE PART V0
ASHLAND RADIOLOGY ASSOCIATES PSC
SEE PART V$718,398SEE PART V0
CAROLE EBAUGH
SEE PART V$19,726SEE PART V0
CINDY GILLUM
SEE PART V$23,514SEE PART V0
FRESENIUS MEDICAL CARE
SEE PART V$974,882SEE PART V0
OFFICE FUNITURE USA
SEE PART V$484,450SEE PART V0
VAN ART PROPERTIES
SEE PART V$370,260SEE PART V0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF PERSON: ANNE SLOAN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER-IN-LAW OF JOHN STEWART (BOARD MEMBER)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY JOHN STEWART.(A) NAME OF PERSON: ASHLAND OFFICE SUPPLY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: ASHLAND RADIOLOGY ASSOCIATES, PSC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF WILLIAM BOYKIN (BOARD MEMBER) IS A PHYSICIAN OF THIS PRACTICE(D) DESCRIPTION OF TRANSACTION: PAYMENTS FOR RADIOLOGY SERVICES. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: CAROLE EBAUGH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF MATTHEW EBAUGH (FORMER CHIEF STRATEGY OFFICER/CIO)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY MATTHEW EBAUGH.(A) NAME OF PERSON: CINDY GILLUM(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF KRISTIE WHITLATCH (PRESIDENT/CEO)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY KRISTIE WHITLATCH.(A) NAME OF PERSON: FRESENIUS MEDICAL CARE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DON HAMMONDS (BOARD MEMBER) IS AN INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS(D) DESCRIPTION OF TRANSACTION: INPATIENT DIALYSIS TREATMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: OFFICE FUNITURE USA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE FURNITURE. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: VAN ART PROPERTIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SON OF JOHN STEWART (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: OFFICE SPACE RENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3THE HOSPITAL CLOSED "HOME MEDICAL EQUIPMENT", A NON-MEDICAL FACILITY, IN MARCH 2018.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE OF THE AHC BOARD IS MADE UP OF THE FOLLOWING MEMBERS: DAVID JONES, CHAIR; STEPHEN ADDINGTON, VICE CHAIR; KRISTIE WHITLATCH, CHIEF EXECUTIVE OFFICER; JOHN STEWART, TRUSTEE; TOM BURNETTE, TRUSTEE; AND BRADLEY LEVI, TRUSTEE. ELECTION AND COMPOSITION: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE TRUSTEES CHAIR, ANY VICE-CHAIRS, THE CHIEF EXECUTIVE OFFICER, AND ANY OTHER TRUSTEE RECOMMENDED BY THE CHAIR AND APPROVED BY THE TRUSTEES. THE TRUSTEES CHAIR SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. THE CHIEF EXECUTIVE OFFICER SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. POWERS AND FUNCTIONS: THE EXECUTIVE COMMITTEE SHALL HAVE ALL POWERS AND AUTHORITY OF THE TRUSTEES TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY LIMITATIONS IMPOSED BY THE TRUSTEES, THE BYLAWS OR BY APPLICABLE LAW. MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE HELD AS NEEDED. THE EXECUTIVE COMMITTEE SHALL FROM TIME TO TIME, AS IT DETERMINES APPROPRIATE, REVIEW AND RECOMMEND REVISIONS TO THE BYLAWS FOR CONSIDERATION AND APPROVAL BY THE TRUSTEES. THE EXECUTIVE COMMITTEE SHALL ALSO RECEIVE SUCH REPORTS AS THE COMMITTEE MAY DIRECT FROM THE EXECUTIVE OR ANY SIMILAR COMMITTEE OF THE BOARD OF DIRECTORS OF EACH AFFILIATED ORGANIZATION CONCERNING THE ACTIVITIES OF SUCH COMMITTEE AND PROVIDE PERIODIC REPORTS ON SUCH ACTIVITIES TO THE TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 6KING'S DAUGHTERS HEALTH SYSTEM IS THE CORPORATE MEMBER OF ASHLAND HOSPITAL CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AAS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS INCLUDE ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7BAS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY KDHS, INCLUDING, AMONG OTHERS, A CHANGE OF MEMBERSHIP OR SALE OF AHC, ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS, AMENDING AHC'S ARTICLES AND BYLAWS, OR ANY BANKRUPTCY, LIQUIDATION OR DISSOLUTION OF AHC, INCLUDING THE TAX-EXEMPT ORGANIZATION TO WHOM AHC'S ASSETS ARE DISTRIBUTED UPON ITS DISSOLUTION. KDHS' BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY KDHS IN ADDITION TO THOSE SPECIFICALLY LISTED IN AHC'S ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WILL BE REVIEWED BY THE CFO AND CONTROLLER. AFTER THIS REVIEW, BUT BEFORE IT IS FILED WITH THE IRS, THE FINAL 990 WILL BE PROVIDED TO THE FULL BOARD OF DIRECTORS USING BOARD EFFECTS SOFTWARE. AN E-MAIL WITH A LINK TO THE POSTING WILL BE SENT TO EACH BOARD MEMBER ONCE THE REPORT HAS BEEN POSTED.
FORM 990, PART VI, SECTION B, LINE 12CASHLAND HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS' RECOMMENDED POLICY WITH RESPECT TO SUCH OFFICERS AND DIRECTORS. MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS MUST ANNUALLY IDENTIFY, IN WRITING, ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT, SUCH AS A LEADERSHIP POSITION IN A CONFLICTING ORGANIZATION; DISCLOSURE IS NOT LIMITED TO FINANCIAL CONFLICTS. LEADERSHIP EMPLOYEES MUST ANNUALLY CERTIFY, IN WRITING, THAT THEY KNOW OUR CONFLICTS OF INTEREST POLICY AND PROCEDURE AND HAVE NO CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S HUMAN RESOURCES DEPARTMENT MAINTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CHIEF CORPORATE COMPLIANCE OFFICER AND GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. ANNUALLY, BOARD MEMBERS DISCLOSE PERSONAL AND PROFESSIONAL RELATIONSHIPS TO THE SECRETARY OF THE BOARD. IF A POTENTIAL CONFLICT EXISTS, THE BOARD SECRETARY OR A BOARD MEMBER WILL IDENTIFY THE CONFLICT, OR POTENTIAL CONFLICT, AND THE BOARD MEMBER WILL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEW THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS DETERMINE WHETHER THE CONFLICTED INDIVIDUAL INFLUENCED THE DECISION-MAKING OR PROFITED FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE MEDICAL CENTER'S POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS. MEDICAL STAFF MEMBERS ARE REQUIRED BY THE MEDICAL STAFF BYLAWS TO DISCLOSE CONFLICTS OF INTEREST. ONCE DISCLOSED, THE MEDICAL STAFF MEMBER IS REMOVED FROM ANY DISCUSSION, DECISION-MAKING, AND/OR VOTE ON ANY RELATED ISSUE.
FORM 990, PART VI, SECTION B, LINE 15AT THE DIRECTION OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF KING'S DAUGHTERS HEALTH SYSTEM (KDHS), KDHS ENGAGED SULLIVAN COTTER AND ASSOCIATES, INC., A LEADING INDEPENDENT COMPENSATION CONSULTING COMPANY SPECIALIZING IN EXECUTIVE, EMPLOYEE AND PHYSICIAN COMPENSATION AND BENEFITS FOR THE HEALTH CARE AND NOT-FOR-PROFIT INDUSTRY, TO ASSIST IN DETERMINING COMPENSATION OF THE CEO, VICE PRESIDENTS, AND CHIEF MEDICAL OFFICERS. SULLIVAN COTTER'S MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2016. THE PRINCIPLE OBJECTIVE OF THIS STUDY WAS TO ASSEMBLE A DETAILED PROFILE OF THE CURRENT COMPENSATION LEVELS AVAILABLE TO EXECUTIVES MANAGING SIMILAR TASKS AND RESPONSIBILITIES AS MEMBERS OF THE KDHS EXECUTIVE TEAM. MOREOVER, THE OBJECTIVE WAS TO COMPILE MARKET DATA FOR EACH POSITION THAT WAS REFLECTIVE OF THE PAY LEVELS OFFERED BY INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE SIZE WITH OPERATIONS IN THE UNITED STATES. THE SULLIVAN COTTER DATA COUPLED WITH THE PERFORMANCE OF THE ORGANIZATION AS WELL AS THE PERSONAL PERFORMANCE OF EACH EXECUTIVE IS THE BASIS FOR KDHS'S HUMAN RESOURCE & COMPENSATION COMMITTEE'S REVIEW AND RECOMMENDATIONS, AND THE BOARD'S REVIEW AND APPROVAL OF COMPENSATION INCREASES. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS WAS USED TO DETERMINE COMPENSATION FOR THE FOLLOWING POSITIONS: - PRESIDENT/CEO - VP, CHIEF COMPLIANCE OFFICER - VP, CHIEF FINANCIAL OFFICER - VP, CHIEF LEGAL & REGULATORY OFFICER/GENERAL COUNSEL - CHIEF MEDICAL OFFICERS - VP, PEOPLE SERVICES - VP, PATIENT SERVICES/CHIEF NURSING OFFICER - VP, CHIEF OPERATING OFFICER
FORM 990, PART VI, SECTION C, LINE 19ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN MARKET VALUE INTEREST RATE SWAP 3,721,707. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -53. PENSION LIABILITY ADJUSTMENT 3,727,912. WRITE OFF OF DUE TO AFFILIATE 102,333. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556. LOSS ON DISCONTINUED OPERATIONS -5,293,208. OTHER TRANSFERS FROM AFFILIATES 16,326.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASHLAND NURSING HOME CORPORATION
2500 STATE ROUTE 5ASHLANDKY41102611386016NURSING HOMEKY501(C)(3)LINE 10ASHLAND HOSPITAL CORPORATIONYes (1)
CHILD DEVELOPMENT CENTER CORPORATION
2201 LEXINGTON AVENUEASHLANDKY41101010560598DAYCAREKY501(C)(3)LINE 10ASHLAND HOSPITAL CORPORATIONYes (1)
KENTUCKY HEART INSTITUTE INC
2201 LEXINGTON AVENUEASHLANDKY41101611255904PHYSICIANSKY501(C)(3)LINE 10ASHLAND HOSPITAL CORPORATIONYes (1)
KENTUCKY HEART FOUNDATION INC
2201 LEXINGTON AVENUEASHLANDKY41101260791997MEDICAL RESEARCHKY501(C)(3)LINE 7ASHLAND HOSPITAL CORPORATIONYes (1)
KENTUCKY MEDICAL LOGISTICS INC
425 22ND STREETASHLANDKY41101264736971MEDICAL TRANSPORTKY501(C)(3)LINE 10ASHLAND HOSPITAL CORPORATIONYes (1)
KING'S DAUGHTERS HEALTH FOUNDATION INC
2201 LEXINGTON AVENUEASHLANDKY41101611035701FUNDRAISINGKY501(C)(3)LINE 12B, IIASHLAND HOSPITAL CORPORATIONYes (1)
KING'S DAUGHTERS HEALTH SYSTEM
2201 LEXINGTON AVENUEASHLANDKY41101274553836HEALTHCAREKY501(C)(3)LINE 12B, II0N/A
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVENUEASHLANDKY41101264183569PHYSICIANSKY501(C)(3)LINE 10ASHLAND HOSPITAL CORPORATIONYes (1)
PORTSMOUTH HOSPITAL CORPORATION
1901 ARGONNE AVENUEPORTSMOUTHOH45662453215312HEALTHCAREOH501(C)(3)LINE 3KING'S DAUGHTERS HEALTH SYSTEM0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND MEDICAL PROPERTIES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd
FieldValueIRS element (for citing)
EIN611079090EIN
Primary ActivitiesRENTALSPrimaryActivitiesTxt
Legal Domicile StateKYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$4,015ShareOfTotalIncomeAmt
Share Of EOY Assets$35,402ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASHLAND NURSING HOME CORPORATION
C$800,000ALL TRANSACTIONS BETWEEN
KENTUCKY HEART FOUNDATION INC
O$94,641COMPANIES ARE CAPTURED AT COST
KENTUCKY MEDICAL LOGISTICS INC
O$1,006,579IN THE DUE TO/FROM
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
O$819,245ACCOUNTS. TRANSACTIONS
ASHLAND NURSING HOME CORPORATION
R$2,234,416THAT HIT THESE ACCOUNTS ARE
KENTUCKY HEART FOUNDATION INC
R$55,423TRACKED MONTHLY.
KENTUCKY MEDICAL LOGISTICS INC
R$1,003,130
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
R$23,175,059
ASHLAND NURSING HOME CORPORATION
S$2,267,546
KENTUCKY MEDICAL LOGISTICS INC
S$831,665
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
S$5,372,591